Medical Dominance And Power

Whilst historically medicine has maintained a position of dominance and power within the health care system there are suggestions that contemporary social trends such as managerialism, proletarianisation, and the corporatisation of the health care system are resulting in challenges to medicine’s traditional power. In some countries, declining medical power has been attributed to increased interest in alternative health management, intraprofessional competition, and medical oversupply. In Australia, these emerging social trends are having some impact on the dominant position of the medical profession. However, many of these trends are ‘metrocentric’. In rural Australia, most doctors are neither corporatised workers nor publicly employed. They retain significant independence as fee-for-service providers whose medical power is strengthened by medical shortages and professional autonomy. The Australian Health Care Agreement provides for equitable access for public health care irrespective of geographic location. However, in Victoria, it would appear that rural doctors’ economic autonomy creates a significant disparity between rural and metropolitan constituents’ access to public health services, especially public hospitals

Autonomy · Economic growth · Economics · Health care · Managerialism · Metropolitan area · Political science · Public health · Public relations · Sociology · Employment and Welfare Studies · Global Health Workforce Issues · Law · Medicine · Nursing · Public Administration

• Intraprofessional Competition and Earnings Inequalities Across a Professional Chasm

  Open Access•Fiona M Kay•Law & Society Review•2009

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• Power relations and role boundaries between community first responders and ambulance clinicians in England

  Open Access•Gupteswar Patel, Viet‐hai Phung et al.•Social Theory & Health•2025

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• The Managerial State

  John Clarke, Janet Newman•The Managerial State•2006

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• Worlds of Welfare

  Steven Pinch•Worlds of Welfare•2002

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• Physician and Clinical Integration Among Rural Hospitals

  Open Access•Jeffrey A Alexander, Michael A Morrisey et al.•The Journal of Rural Health•1998

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• Decline vs. retention of medical power through restratification

  Open Access•David Coburn, Susan Rappolt et al.•Sociology of Health & Illness•1997

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• Medical dominance in Italy

  Open Access•Willem Tousijn•Social Science & Medicine•2002

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• Physician Proletarianization and Medical Care Restructuring in Argentina and Uruguay

  Joseph L Scarpaci•Economic Geography•1990

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• Resource dependency, doctors and the state

  Open Access•Peter Garpenby•Social Science & Medicine•1999

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• Clinical guidelines and the fate of medical autonomy in Ontario

  Open Access•Susan Rappolt, Susan G Rappolt•Social Science & Medicine•1997

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